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New Availity Essentials Tool Now Live

November 6, 2025
 

A new feature is now live on Availity Essentials for benefits by procedure code. This feature helps healthcare providers look up member benefits using specific procedure codes.

Why it Matters

The new tool gives faster, more accurate coverage details. Previously, benefit searches only showed general service types.

More options are now available:

  • Enter a current procedural terminology (CPT) code to see patient benefits.
  • View deductibles, copays, coinsurance, and authorization requirements tied to the CPT code.
  • Find the feature in the Eligibility & Benefits section on Availity Essentials.

Sign in to Availity Essentials to see more details.